NUR 2212 (NUR2212)

1. The nurse assesses a patient’s surgical wound on the first postoperative day and notes redness and warmth around the incision. Which action by the nurse is appropriate? b. Document the assessment. 2. A patient with an open leg lesion has a white blood cell (WBC) count of 13,500/µL and a band count of 11%. What prescribed action should the nurse take first? a. Obtain cultures of the wound. 3. A patient with a systemic bacterial infection feels cold and has a shaking chill. Which asse...

1. Which action will the nurse in the hypertension clinic take to obtain an accurate baseline blood pressure (BP) for a new patient? b. Have the patient sit in a chair with the feet flat on the floor. 2. The nurse obtains the following information from a patient newly diagnosed with prehypertension. Which finding is most important to address with the patient? b. No regular physical exercise 3. Which action should the nurse take when giving the initial dose of oral labetalol to a patient w...

A 74-yr-old patient has just arrived in the emergency department. After assessment reveals a pulse deficit of 46 beats, the nurse will anticipate that the patient may require d. electrocardiographic (ECG) monitoring. 2. The nurse is reviewing the 12-lead electrocardiograph (ECG) for a healthy 74-yr-old patient who is having an annual physical examination. What finding is of most concern to the nurse? d. The heart rate (HR) is 41 beats/min. 3. During a physical examination of an older patie...

1. When developing a teaching plan for a 61-yr-old patient with multiple risk factors for coronary artery disease (CAD), the nurse should focus primarily on the b. elevated low-density lipoprotein (LDL) level. 2. Which nursing intervention is likely to be most effective when assisting the patient with coronary artery disease to make appropriate dietary changes? b. Help the patient modify favorite high-fat recipes by using monounsaturated oils. 3. The nurse is admitting a patient who has ch...

1. The nurse obtains a health history from an older patient with a prosthetic mitral valve who has symptoms of infective endocarditis (IE). Which question by the nurse is most focused on identifying a risk factor for IE? d. “Have you had dental work done recently?” 2. During the assessment of a young adult patient with infective endocarditis (IE), the nurse would expect to find b. a new regurgitant murmur. 3. The nurse identifies the nursing diagnosis of decreased cardiac output relat...

1. A male patient who has a profuse, purulent urethral discharge with painful urination is seen at the clinic. Which information will be most important for the nurse to obtain? c. Recent sexual contacts 2. A 20-yr-old female patient who is being seen in the family medicine clinic for an annual physical examination reports being sexually active. The nurse will plan to teach the patient about a. testing for Chlamydia infection. 3. A patient with gonorrhea is treated with a single IM dose of...

1. A 40-yr-old patient with suspected acromegaly is seen at the clinic. To assist in making the diagnosis, which question should the nurse ask? b. “Do you have to wear larger shoes now?” 2. A patient is scheduled for transsphenoidal hypophysectomy to treat a pituitary adenoma. During preoperative teaching, the nurse instructs the patient about the need to c. avoid brushing teeth for at least 10 days after the surgery. 3. The nurse is planning postoperative care for a patient who is bei...

1. The nurse is performing a medication history on a patient who reports using phentermine HCl (Suprenza) 15 mg/day for the past 3 months as an appetite suppressant. The nurse will contact the patient’s provider to discuss a. changing the medication to phentermine-topiramate (Qsymia). b. increasing the dose to 37.5 mg/day since tolerance has likely occurred. c. initiating a slow taper of the phentermine. d. stopping the drug immediately since long-term use is not recommended. ANS: C Th...

1. A female patient has serum lipid levels performed, which reveal a total cholesterol of 285 mg/dL, triglycerides of 188 mg/dL, a low-density lipoprotein (LDL) of 175 mg/dL, and a high-density lipoprotein (HDL) of 40 mg/dL. The patient’s blood pressure is 138/72 mm Hg. The nurse may expect the provider to order which medication for this patient? a. Amlodipine and atorvastatin (Caduet) b. Colestipol HCl (Colestid) c. Fenofibrate (TriCor) d. Niacin and lovastatin (Advicor) ANS: D The c...

The nurse is caring for a patient who is receiving an intravenous antibiotic. The nurse notes that the provider has ordered serum drug peak and trough levels. The nurse understands that these tests are necessary for which type of drugs? a. Drugs with a broad spectrum b. Drugs with a narrow spectrum c. Drugs with a broad therapeutic index d. Drugs with a narrow therapeutic index ANS: D Medications with a narrow therapeutic index have a limited range between the therapeutic dose and a tox...